Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Surgery I > Principles of Minimally Invasive Surgery (26) > Flashcards

Principles of Minimally Invasive Surgery (26) Flashcards

Dr. Gilley (62 cards)

Start Studying
1
Q

What is endoscopy?

A

use of instrument (i.e. an endoscope) to visualize interior of organ or body cavity that cannot be examined without surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is flexible endoscopy?

A

endoscope that bends to look and/or move around corners

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the components of flexible endoscopes?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is this?

A

flexible endoscope

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are immersible scopes?

A

have handles placed in water without risk of damage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Label A-C

A

A. umbilical cord
B. handle
C. insertion tube

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is rigid endoscopy?

A

plastic or metal scope that can’t bend

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the parts of a rigid endoscope?

A

lens
obturator
trocar

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How does a rigid endoscope work?

A

inserted into the body through skin and soft tissue or a natural orifice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is an insertion through the skin called with a rigid endoscope?

A

portals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How are the portals defined by?

A
  • scope inserted through scope or camera portal
  • power and hand tools inserted through instrument portal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are cannulas?

A

metal tubes that maintain portals and protect instruments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is triangulation??

A

visualization of instruments through scope to perform biopsies or therapeutic procedures within the body cavity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is gastroduodenoscopy?

A

endoscopy of esophagus, stomach, & duodenum (occasionally upper jejunum)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is bronchoscopy?

A

endoscopy of trachea and bronchi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is laryngoscopy?

A

examination of the pharynx and larynx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is laparoscopy?

A

endoscopy of peritoneal cavity
interventional

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

In what ways can laparoscopy perform minimally invasive surgery?

A
  • gastropexy
  • jejunostomy tube placement
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are arthroscopes always used through?

A

cannulas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is instrumenting?

A

insertion of endoscope, arthroscope, or other instrument into joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is triangulation?

A

visualization of instruments through the scope to perform biopsies or therapeutic procedures in the joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

How does arthroscopy work?

A
  • scope inserted through scope or camera portal
  • power and hand instruments inserted through instrument portal
  • fluid flowing into joint - ingress
  • fluid flowing out of joint - outflow or egress
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Why is endoscopy used?

A

to biopsy organs, remove foreign objects, examine inside hollow structures

perform proceeders done by more invasive surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

When is endoscopy valuable?

A

only when successful - eliminates need for more invasive surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
When is gastroduodenoscopy indicated?
gastric and intestinal biopsy/cytology for diagnosis of infiltrative and lymphatic disorders
26
When is an esophagoscope indicated?
27
When is a proctoscopy and colonoileoscopy indicated?
- biopsy - ID of occult whipworm infestation - diagnosis/removal of polyps - diagnosis of cecocolic intussusception
28
When is laryngoscopy indicated?
29
When is cystoscopy indicated?
- diagnosis of ectopic ureters
30
When is a thoracoscopy indicated?
31
When is bronchoscopy indicated?
32
When is rhinoscopy indicated?
33
When is a posterior nares (choanal) examination indicated?
34
When is laparoscopy indicated?
exam and bx of abdominal viscera determine if celiotomy indicated minimally invasive interventional surgery
35
When is arthroscopy indicated?
36
What are the characteristics of flexible endoscopes?
- greater access to more sites in viscous organs - more expensive than rigid scopes - easier to damage/requires training to assemble and clean without damage - requires substantial training to use properly
37
What are characteristics of rigid endoscopes?
- less expensive than flexible scopes - usually more durable - easier to learn to use - capable of larger biopsies than with flexible scopes - excellent for simultaneous removal of foreign objects and protecting mucosa
38
What are the tips of foreign body retrieval forceps from top to bottom?
shark's tooth forceps rat's tooth forceps coin retriever forceps
39
What do four-wire basket retrieval forceps help do?
retrieve foreign bodies
40
What are these?
both four-wire baskets top works well due to great flexibility of wires; bottom harder to ensnare foreign bodies
41
What are the 2 types of rigid biopsy forceps?
upper forceps: clamshell or double spoon forceps lower: smaller upper punch fits into larger lower cup with shearing scissor-like cut
42
What are some rules for endoscope care?
- always use a mouth gag - review manufacturers recommendations - **never subject flexible scopes to heat, especially autoclaving**!
43
What are the 4 basic principles for most endoscopic procedures?
1. advance scope only if you can see where you are going 2. can't see? back scope out a little and/or insufflate a little air/infuse some fluid into the lumen 3. aim scope toward center of lumen 4. do not insert endoscope into patient hard!
44
What are the advantages of endoscopic removal of foreign objects?
- faster than surgery - less stressful to the patient - reduced tissue trauma, morbidity, and recovery time - reduced cost to client
45
What are disadvantages of endoscopic removal of foreign objects?
- cannot remove all objects - can hurt patient with careless technique - requires assortment of expensive foreign body retrieval devices
46
What is the most common arthroscopically performed procedure?
fragment removal: OCD, FCP
47
Why is arthroscopy superior to radiography in diagnosis of joint disease?
- allows direct visualization of cartilage and soft tissue structures - provides magnification - enables biopsy of virtually all structures within a joint
48
What is the most significant diagnostic advantage of arthroscopy?
ability to access condition of cartilage surface!
49
What are the common diagnoses with arthroscopy in the elbow?
fragmented (medial) coronoid process osteochondritis dessicans
50
What are common diagnoses with arthroscopy in the carpus?
- osteoarthritis - chip fractures
51
What are common diagnoses with arthroscopy in the hip?
- osteoarthritis - labral tearing and avulsion - tearing of ligament of femoral head - neoplasia
52
What are common diagnoses with arthroscopy in the stifle?
- osteochondritis dessicans - cruciate disease/damage - osteoarthritis - meniscal disease/damage
53
What are common diagnoses with arthroscopy in the tarsus?
- OCD - chip fractures
54
Which arthroscope size is usually recommended?
1.99 mm - less damaging
55
What are common arthroscopic procedures in the shoulder?
fragment removal OA treatment **biceps tenotomy** soft tissue shrinkage for instability
56
What are common arthroscopic procedures in the elbow?
- fragment removal - OA treatment
57
What are common arthroscopic procedures in the carpus?
fragment removal OA treatment
58
What are common arthroscopic procedures in the hip?
OA assessment biopsy
59
What are common arthroscopic procedures in the stifle?
**meniscal tear treatment** **cruciate ligament debridement** fragment removal OA treatment
60
What are common arthroscopic procedures in the tarsus?
fragment removal OA treatment
61
Label the parts
A. grasping forceps B. right angle probe C. microcurette
62
What is important to know with arthroscopy?
- you may not be able to successfully remove all fragments - be prepared to perform an arthrotomy

Surgery I (30 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions